Document Detail

Spontaneous twin cervico-isthmic pregnancy in a grand multiparous woman.
MedLine Citation:
PMID:  21058446     Owner:  NLM     Status:  MEDLINE    
Cervico-isthmic pregnancy is a rare form of ectopic pregnancy and is defined as the implantation of a fertilized ovum in the cervico-isthmic portion. The cause is unknown; local pathology related to previous cervical or uterine surgery may play a role, given an apparent association with a prior history of curettage or cesarean delivery. Transvaginal ultrasonography and β-human chorionic gonadotrophin assays are useful for diagnosis. Here we report a case of spontaneous twin cervico-isthmic pregnancy in a grand multiparous patient who was diagnosed early in the first trimester with transvaginal ultrasonography. The pregnancy was terminated successfully with methotrexate. Methotrexate seems to be most successful at early gestational ages.
Meral Cetin; Caglar Yildiz; Ayse G I Yenicesu; Ali Cetin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  36     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-05     Completed Date:  2011-02-11     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1112-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Cumhuriyet University School of Medicine, Sivas, Turkey.
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MeSH Terms
Abortion, Induced
Cervix Uteri / ultrasonography*
Pregnancy Trimester, First
Pregnancy, Ectopic / ultrasonography*
Pregnancy, Multiple
Ultrasonography, Prenatal
Reg. No./Substance:

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